Home Health Articles and Information

TELEVISIT SUCCESS STORY

Oct 13, 2020 6:00:00 AM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, Therapy, Home Health, Quality assurance, Telehealth, OASIS, 5-Day RAP Penalty, RAP

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TeleVisit Success Story

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RAP UPDATE FOR 2021

Oct 6, 2020 6:30:00 AM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, Home Health, OASIS, 5-Day RAP Penalty, RAP

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RAP Update for 2021

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IS WHEN YOUR AGENCY CODES IMPORTANT?

Sep 8, 2020 6:00:00 AM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, RCD, Compliance, Home Health, Quality assurance, OASIS, ICD-10 Coding, RAP

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Is When Your Agency Codes Important?

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HELP WITH GETTING THE GG ITEMS RIGHT

Aug 18, 2020 5:00:00 AM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, Outcomes, Home Health, Quality assurance, OASIS, Home Health Care

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GG Edits

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PDGM NEVER WENT AWAY: CMS'S OVERHAUL OF HOME HEALTH IS STILL HAPPENING

May 4, 2020 5:30:00 AM / by Kirk Arthur, VP Sales and Marketing, OperaCare LLC. posted in PDGM, Value-based care, Outcomes, Home Health, OASIS

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PDGM Never Went Away: CMS's Overhaul of Home health is Still Happening

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CMS ANNOUNCES OASIS E

Mar 20, 2020 9:11:00 AM / by Michael McGowan, CEO, OperaCare LLC. posted in PDGM, Compliance, Home Health, OASIS

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CMS Announces OASIS E

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RCD AND PDGM COMMONALITIES

Feb 1, 2020 3:46:00 PM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, RCD, Home Health, Quality assurance, OASIS

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RCD and PDGM Commonalities

Review choice (RCD) is going strong in Illinois and Ohio.  It’s due to start in Texas in March 2020 and North Carolina and Florida in May 2020. These agencies are also preparing, like the rest of the country, for PDGM starting January 1, 2020.  Agencies in Texas and Florida and North Carolina are expected to choose their pre-claim option just as those in Illinois and Ohio did.  Choosing “pre-claim” is the only option that allows correction and re-submission of OASIS without going to the appeals process.

 

Pre-claim submission will also go hand and hand with the requirements of PDGM. Agency’s engaged in a rapid cycle referral, assessment, and submission methodology will have close parallels to the cycles required to succeed in PDGM.

Nothing New – only faster!

CMS will not require any new paperwork for pre-claim submission, or PDGM for that matter. RCD does require specific documentation to establish homebound eligibility, medical necessity, and that the face-to-face encounter meet CMS regulatory requirements.

 

Review Choice and PDGM are both about having all the necessary documentation and diagnosis codes to substantiate your claims.

 

We recommend all agencies, not just those in Texas, North Carolina and Florida examine their Quality Assurance processes. Agencies who can complete OASIS, ICD-10 coding, and the POC in the shortest amount of time while upholding accuracy, will maintain cash flow in RCD and PDGM.

We can help

Creating single cycle correction Quality Assurance Systems is what we do. Click the link below and we’ll show you how to reduce your days to RAP from the industry average of 12, down to 2 To 3!!

 

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THE COMORBIDITY QUESTION

Jan 6, 2020 8:23:00 AM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, Co-morbidity, Home Health, Quality assurance, OASIS

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The CoMorbidity Question

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PDGM AND CARE PLANNING

Dec 16, 2019 3:10:00 PM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, Home Health, Quality assurance, OASIS

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PDGM and Care Planning

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PDGM AND THERAPY UTILIZATION

Dec 2, 2019 3:20:00 PM / by Kristi Bajer, BSN, RN, COS-C posted in PDGM, Compliance, Therapy, Home Health, OASIS

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PDGM and Therapy Utilization

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